Trees of Love Donation Form Dedicate a dove to someone special and join us at a remembrance service this December. Your Dedication Who would you like to dedicate a dove to?*Would you like a message written on your dove?*Please selectYes pleaseNo thank youDove message*Where would you like us to hang your dove?*Please selectPilgrims Hospices AshfordPilgrims Hospices CanterburyPilgrims Hospices ThanetFirmager, St Nicholas Church, New RomneyAll Souls Church, CheritonSt Leonard's Church, HytheSt Alphege Church, WhitstableSt Peter and St Paul Church, RiverBarham CrematoriumCharing CrematoriumHerne Bay CrematoriumPlease send my dove home to meWill you be attending the service?*Please selectYesNoHow many guests are attending?* Your Details Title*Please selectDrMissMrMrsMsOtherOther Title*First Name*Surname*Address Line 1*Address Line 2Town/City*County*Postcode*CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsPhone Number*Email* Enter Email Confirm Email Pilgrims Hospices will keep you up to date with exciting news, information and ways you can support us by post. If you would be happy for us to contact you by email please tick here If you would prefer not to receive information by post please tick her If you wish to adjust the frequency or type of communications you receive from Pilgrims, please call Supporter Relations on 01227 782062 or email us at [email protected]. Your Donation Please accept my gift to Pilgrims Hospices of:*Please select£39 would cover the cost of travel for a day, to allow our nurses to visit patients in their own homes.£54 could pay for two hours of specialist palliative nursing care on our wards this Christmas.£110 would help one of our community nurses make all of their visits during the week of Christmas.Other amountOther donation amount* Gift Aid is a government tax relief scheme. It costs you nothing, but means Pilgrims will receive an extra 25%. If you would like to Gift Aid your donation, please confirm the statement below to make sure your donation is eligible:Gift Aid Eligibility This donation is my own money, I am not receiving anything in return for this donation & I am a UK tax payer Gift Aid Declaration Please treat all donations I make now, in the future, or have made to Pilgrims Hospices for the past 4 years as Gift Aid donations until further notice. I am a UK taxpayer and understand that if I pay less income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations it is my responsibility to pay any difference. I understand that Pilgrims Hospices will reclaim 25p of tax on every £1 that I have given. Donation Total £ 0.00